Individual
DR. RYAN DAVID BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
102 OLD MILL RD, HICKSVILLE, OH 43526-1083
(419) 542-8247
(419) 542-6726
Mailing address
13781 CR 27 C, ANTWERP, OH 45813-9488
(419) 258-2028
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3696
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2647890
—
OH
Enumeration date
08/01/2006
Last updated
01/17/2014
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